45D2293729 CLIA NUMBER - CLEAR LAKE PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2293729
  • Facility Name: CLEAR LAKE PRIMARY CARE PLLC
  • Facility Address: 4615 SOUTHWEST FWY, 10TH FLOOR
    HOUSTON, TX
    ZIP 77027
  • Facility Phone: 281 724-7145
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD J. BABA
  • NPI Number: 1437543626
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2293729
LAB Type Physician Office
Facility Name CLEAR LAKE PRIMARY CARE PLLC
Street 4615 SOUTHWEST FWY, 10TH FLOOR
City HOUSTON
State TX
ZIP 77027
Phone 281 724-7145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director MOHAMMAD J. BABA

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This page was last updated on: 9/29/2025